When drusen bodies are noted to be increasing in number or in intensity of color, the patient should be further evaluated with a(n):
a. Amsler grid.
b. Snellen E chart.
c. litmus test.
d. confrontation test.
A
Drusen bodies, when they increase in number or intensity of color, may indicate a precursor state of macular degeneration. When this happens, the patient's central vision should be assessed using the Amsler grid. The Snellen chart measures visual acuity, the litmus test is used for testing pH, and a confrontation test examines peripheral vision.
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Documentation of type of care, time of care, and signature of the person who is documenting proves that:
a. the person who signed the documentation did all the work noted. b. no litigation can be brought against the person who signed. c. interventions were implemented to meet the patient's needs. d. the patient's response to the intervention was positive.
Which statement indicates the nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy?
a. Children as young as 3 years old can effectively and successfully use a PCA pump. b. Two registered nurses (RNs) are required to double-check the dosage and programmed administration of opioids. c. The child should be carefully monitored for signs and symptoms of overmedication with opioids. d. Naloxone (Narcan) should be readily available.
The patient has advanced cancer and is experiencing malignant pain. How should the nurse plan to manage this pain?
1. Use the intravenous route for pain medication administration. 2. Set up a dosing schedule that provides for around-the-clock doses. 3. Encourage the patient to wait 10 minutes after pain medication is required to ask for a dose. 4. Augment the patient's regimen with other pharmaceutical and nonpharmaceutical pain relief measures for breakthrough pain. 5. Counsel the patient that it is not possible to eliminate all the pain of cancer and that some must be tolerated.
What instructions should be included for a patient prescribed tamsulosin (Flomax) for benign prostatic hypertrophy? (Select all that apply.)
a. Dizziness may occur. b. Avoid unnecessary sunlight. c. Dry mouth and gastrointestinal upset may occur. d. Chew or crush tablets. e. Be careful when going from a sitting to a standing position. f. Avoid the use of heavy machinery.